Which individual in the emergency department should be considered at highest risk for completing suicide?

A 38-year-old single, African American female church member with fibrocystic breast disease.

An adolescent Asian American girl with superior athletic and academic skills who has asthma.

A 79-year-old single, white male diagnosed recently with terminal cancer of the prostate.

A 60-year-old married Hispanic man with 12 grandchildren who has type 2 diabetes.

Answer and Explanation

The Correct Answer is C

A. African American females, especially with strong religious affiliation and social ties, have a lower risk of suicide compared to other demographics.

B. Adolescents may have suicidal ideation under stress, but the protective factors (academic and athletic success, no indication of psychiatric illness) lower the risk.

C. Older white males are at the highest statistical risk for suicide, especially when compounded by chronic illness, terminal diagnosis, social isolation (single), and depression.

D. Despite chronic illness (type 2 diabetes), protective factors such as being married and having many grandchildren reduce suicide risk.

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Free Nursing Study Resources

Correct Answer is A

Explanation

A. The orientation stage focuses on establishing trust, building rapport, clarifying roles, and setting boundaries. Developing trust and rapport is essential before deeper therapeutic work can occur.
B. Self-responsibility and autonomy are outcomes seen later in the working/termination phases as the patient gains insight and coping skills.
C. A greater sense of independence is expected as the therapeutic relationship progresses, not in the orientation stage.
D. Transference (patient projecting feelings onto the nurse) may occur at any phase and is addressed in the working phase, not resolved in orientation.

A. Neuroleptic malignant syndrome B. Dystonia, akinesia, and extrapyramidal symptoms C. Bradycardia and hypotensive episodes D. Sleep disturbances and weight loss

Correct Answer is D

Explanation

A. Neuroleptic malignant syndrome is a rare, life-threatening reaction associated with antipsychotic medications, not stimulants like methylphenidate.

B. Dystonia, akinesia, and extrapyramidal symptoms are primarily seen with antipsychotic use, not with ADHD stimulant medications.

C. Bradycardia and hypotensive episodes – Stimulants more commonly cause tachycardia and hypertension, not bradycardia or hypotension.

D. Sleep disturbances and weight loss are common side effects of methylphenidate due to its stimulant properties. Monitoring sleep patterns, appetite, and growth is a priority in children taking this medication.

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Which individual in the emergency department should be considered at highest risk for completing suicide?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What is the desirable outcome for the orientation stage of a nurse-patient relationship? The patient will demonstrate behaviors that indicate

Correct Answer is A

Explanation

What is the nurse's priority focused assessment for side effects in a child taking methylphenidate (Ritalin) for ADHD?

Correct Answer is D

Explanation

A child diagnosed with ADHD shows hyperactivity, aggression, and impaired play. The health care provider prescribed amphetamine salts (Adderall). The nurse should monitor for which desired behavior?

A nurse is caring for a child who has autism spectrum disorder. Which of the following findings should the nurse expect? (Select all that apply).

A nurse is planning care for a client who has anorexia nervosa. The nurse should make which of the following client goals the priority?

A patient experiences a sudden episode of severe anxiety. Which medication would be the expected drug to be given to help with the sudden episode of severe anxiety?

A nurse is caring for several clients who have mental health disorders at an assisted-living facility. Which of the following clients should the nurse determine needs to be seen by a provider immediately?

A nurse has prepared teaching materials for the parents of a child newly diagnosed with ADHD. The information will focus on which medication likely to be prescribed?

Which outcome is expected for a client experiencing grandiose thinking associated with acute mania?

A patient diagnosed with bipolar disorder becomes hyperactive after discontinuing lithium. The patient threatens to hit another patient. Which comment by the nurse is appropriate?